Finding New Efficiencies and Opportunities in Workers’ Compensation Claims
We’ve just had a significant go-live with one of the largest insurance organizations in the world, which adds to many other successes in the same company. BPM grows from one group to the next, as more people see that they can generate tangible and significant results quickly.
In this case, our advanced BPM technology is being used to enable hundreds of the insurer’s workers compensation adjusters to accurately determine the appropriate payments for claimants. This is far from small potatoes given the volume the organization handles: approximately 50,000 current workers’ compensation claims from insured policyholders are affected. These claims represent the power of SmartBPM at its best. The technology is helping people by managing the complexity of these long-running cases while bringing together the information and rules that provide responsiveness and prevent fraud.
Our client offers comprehensive and reliable coverage for millions of people and corporations. They in turn depend on Pegasystems to help transform key strategic growth areas, such as tackling the tough but important problems which include bringing more efficiency into workers’ compensation claims management. At a time when the insurance industry has become more competitive and consumers have more choice than ever, organizations are increasingly looking for best practices that differentiate themselves from their peers. Exemplary customer service and evaluating policyholders’ claims in a timely, cost-effective manner are two cornerstones to continued success. Workers’ compensation is a complex industry where controlling medical costs and outcomes will always be a key challenge. But when an organization is armed with SmartBPM, it gets a head start – and some would say an unfair advantage – in turning complexities into opportunities.
As is the case with the lion’s share of our implementations, this worldwide insurer will see Tens of Millions in savings (at a time when that is ever more important). With the long-term success of our several implementations, other areas in the organization are quickly becoming interested in BPM for their areas.
Alan Trefler
Alan Trefler is the Founder and Chief Executive Officer of Pegasystems. He also serves as Chairman of the Pegasystems Board of Directors.
Alan was named The American Business Award's “Software CEO of the Year” for 2009. He was also named “Public Company CEO of the Year” in 2011 by the Massachusetts Technology Leadership Council. Alan has frequently presented to international audiences, written for major publications, and consulted extensively in the use of advanced technologies and work automation. In 2011, Alan was a keynote presenter at the Baron Funds Conference. He has been profiled in national print and broadcast media including CNBC, Fox Business News, Fortune Magazine, Inc. Magazine, Forbes, The Boston Globe, The New York Times, Bloomberg Television, Barron’s, Reuters, and Investor’s Business Daily. Alan has also been named the inventor of five issued US patents and several US and international patent applications for Pegasystems' distinctive Inherited Rule-Based Architecture, which provides the framework for Pegasystems' rules-based Business Process Management (BPM) solutions.
Alan’s interest in computers originates from collegiate involvement in tournament chess, where he achieved a Master rating and was co-champion of the 1975 World Open Chess Championship. His passion and support for chess and the game’s community and current champions continues to this day. Alan holds a degree with distinction in Economics and Computer Science from Dartmouth College.